The Waters of Cumberland, LLC · The Waters of Cumberland LLC

5013747565 · 1516 Cumberland St, Little Rock, AR 72202

Overview

The Waters of Cumberland, LLC is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045359. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 1516 Cumberland St, Little Rock, AR 72202. The overall rating is 1.

Federal Provider Number 045359
Provider Name THE WATERS OF CUMBERLAND, LLC
Legal Business Name THE WATERS OF CUMBERLAND LLC
Address 1516 Cumberland St
Little Rock
AR 72202
County Pulaski
Telephone 5013747565
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 2000-09-27
Number of Certified Beds 120
Average Number of Residents per Day 63.6
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 4
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating Footnote Not enough data available to calculate a star rating.
Staffing Rating 2
Registered Nurses Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.33051
Reported LPN Staffing Hours per Resident per Day 1.03182
Reported RN Staffing Hours per Resident per Day 0.29105
Reported Licensed Staffing Hours per Resident per Day 1.32287
Reported Total Nurse Staffing Hours per Resident per Day 3.65338
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00000
Expected CNA Staffing Hours per Resident per Day 1.67152
Expected LPN Staffing Hours per Resident per Day 0.67780
Expected RN Staffing Hours per Resident per Day 0.37969
Expected Total Nurse Staffing Hours per Resident per Day 2.72900
Adjusted CNA Staffing Hours per Resident per Day 2.87047
Adjusted LPN Staffing Hours per Resident per Day 1.12790
Adjusted RN Staffing Hours per Resident per Day 0.30677
Adjusted Total Nurse Staffing Hours per Resident per Day 4.28378
Rating Cycle 1 Standard Survey Health Date 2020-09-04
Rating Cycle 1 Total Number of Health Deficiencies 20
Rating Cycle 1 Number of Standard Health Deficiencies 16
Rating Cycle 1 Number of Complavarchar Health Deficiencies 1
Rating Cycle 1 Health Deficiency Score 211
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 211
Rating Cycle 2 Standard Health Survey Date 2019-04-12
Rating Cycle 2 Total Number of Health Deficiencies 25
Rating Cycle 2 Number of Standard Health Deficiencies 17
Rating Cycle 2 Number of Complavarchar Health Deficiencies 9
Rating Cycle 2 Health Deficiency Score 239
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 239
Rating Cycle 3 Standard Health Survey Date 2018-06-29
Rating Cycle 3 Total Number of Health Deficiencies 6
Rating Cycle 3 Number of Standard Health Deficiencies 5
Rating Cycle 3 Number of Complavarchar Health Deficiencies 2
Rating Cycle 3 Health Deficiency Score 56
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 194.500
Number of Facility Reported Incidents 1
Number of Substantiated Complavarchars 10
Number of Citations from Infection Control Inspections 7
Number of Fines 2
Total Amount of Fines in Dollars 17126.00
Number of Payment Denials 1
Total Number of Penalties 3
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
THE WATERS OF CUMBERLAND, LLC

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTA&F REALTY LLCOrganization8%since 01/23/2019
5% OR GREATER DIRECT OWNERSHIP INTERESTBLISKO, MICHAELIndividual46%since 01/23/2019
5% OR GREATER DIRECT OWNERSHIP INTERESTGUBIN ENTERPRISES LIMITED PARTNERSHIPOrganization46%since 01/23/2019
MANAGING EMPLOYEEJACKSON, MISHANAIndividualsince 09/16/2019

Location Information

Street Address 1516 CUMBERLAND ST
City LITTLE ROCK
State AR
Zip Code 72202

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Encore Healthcare and Rehabilitation of West Littl · Pleasant Valley Nursing LLC 12111 Hinson Rd, Little Rock, AR 7221250122588882003-09-291
Midtown Post Acute and Rehabilitation - A Waters Community LLC 5720 West Markham Street, Little Rock, AR 7220550166462002012-08-013
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Similar Entities

Nursing Homes with similar names

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.